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There is little evidence to support the routine use of therapeutic ultrasound in patients with venous ulcers. As with other therapies, an important question - whether ultrasound would increase the chance of healing ulcers that would otherwise fail to heal - was not addressed by the studies. The trend towards a benefit of ultrasound in several of the studies is certainly promising, although further research is needed, particularly in patients who have wounds recalcitrant to standard compression therapy.

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